2000, 10-09 Permit App: 00009173 Finish BasementProject Number: 00009173 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/09/2000 Page 1 of 2
Project Information:
Permit Use: FINISH PORTION OF BASEMENT - BATHROOM Contact: SCHOTT, RON & EVA
& BEDRROM & LAWN SPRINLER Address: 1117 S BURNS RD
C - S - Z: VERADALE, WA 99037
Setbacks: Front Left: Right: Rear: Phone: (509) 891-1077
Group Name:
Site Information: Project Name:
Plat Key: 003207 Name: SNOOPY'S ADD District: F
Parcel Number: 45234.5001 Block:
SiteAddress: 1117 S BURNS RD
VERADALE, WA 99037
Location:: VER
Zoning: UR -3.5
Water District:
Area: 0 Sq Ft
Urban Residential 3.5
Width: 92
Nbr of Bldgs: 1 Nbr of Dwellings: 1
Review Information:
Department
BUILDING
Hold Reasons:
Permit Conditions:
Review
Plan Review
Lot:
Owner: Name: SCHOTT, RON & EVA
Address: 1117 S BURNS RD
VERADALE, WA 99037
HEALTHDISTRICT Septic System Review
Hold Reasons:
SellVags designed
Permit Conditions: mtei
hedretina
may,
Permits:
c
Hold: ❑
Depth: 82 Right Of Way (ft): 40
Released By:/
Project Number: 00009173 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Date: 10/09/2000 Page 2 of 2
Building Permit
Contractor: OWNER Firm: OWNER
Address: 0 Phone: (000) 000-0000
000000, 00 000000
Building Characteristics
Const Category: Remodel Group: R-3 Type: VN
Nbr Of Dwellings: Occupant Load: Building Height: Stories:
Bldg W x D: x Building Sq Ft: Sprinklers: ❑
Req Parking: Handicap Parking: Critical Materials:
This Application: Total Project:
Description Grp Tvne Notes Sq Ft Valuation Sq Ft Valuation
BASEMENT F R-3 VN FINISH 0 $1,500.00 0 $1,500.00
PART OF
BASEMENT
Item Description
RESIDENTIAL VALUATION
STATE SURCHARGE
RESIDENTIAL SURCHARGE
Totals: 0 $1,500.00 0 $1,500.00
Units Unit Desc Fee Amount
1 Y OR BLANK $49.50
1 Y OR BLANK $4.50
1 Y OR BLANK $10.89
Permit Total Fees:
Plumbing Permit
Contractor: OWNER Firm: OWNER
Address: 0
000000, 00 000000
Item Description
CROSS CONNECTION DEVICES
MINIMUM FEE ADJUSTMENT
Payment Summary:
Operator: RMB
Permit Type
Building Permit
Plumbing Permit
$64.89
Phone: (000) 000-0000
Units Unit Desc Fee Amount
1 NUMBER OF $6.00
1 Select $29.00
Printed By: RMB
Permit Total Fees: $35.00
Print Date: 10/09/2000
Fee Amount Invoice Amount Amount Paid Amount Owing
$64.89 $64.89 $0.00 $64.89
$35.00 $35.00 $0.00 $35.00
$99.89 $99.89
Notes:
THE BATHROOM PLUMBING HAS ALREADY BEEN ROUGHED IN
AND SO HAS THE VENT FAN
$0.00 $99.89
101
Agink
SPOWE COUNTY
0°- 9113
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
SPECIFIC SITE INFORMATION
Street Address:
Assessor's Tax Parcel Number(s): C1`j- Z 3r / 5bo
Legal Description:
Project Description: ?Ck ( Ca � 1 1 A( X11 , t 1\ 54< (1 ss r , v(A
❑ Building Permit
❑ Change in Use
❑ Grading
❑ Manufactured Home Permit
❑ Relocation
❑ Sign
11 Tenant (New/Change)
❑ Other
OWNER/APPLICANT INFORMATION
0 Indicate who should be contacted regarding this project
.Ow
I ner: { \
E ki t'& j Lac
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Mailing address
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WA State Contractor license #
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OWNER/APPLICANT INFORMATION
0 Indicate who should be contacted regarding this project
.Ow
I ner: { \
E ki t'& j Lac
��u/, Phone: 9 -• (Q —/
I)n �l k F'ax:
—1
❑ Applicant:
Phone:
Fax:
Mailing Address:
l 7 S
(
)(5 ''
2"d floor sq. ft.
Mailing Address:
f...".
Occupancy group
/
City, State, Zip U b o rl �n
lel{,`
(� J 1 A r g U 3-1
Cost of project t + ' k-� )
City, State, Zip
❑ Contractor
Phone`�
Fax
❑ Architect/Engineer
Phone
Fax
Mailing address
Mailing address
City, State Zip
City, State Zip
WA State Contractor license #
Contact name:
PROTECT INFORMATION
Buildk g reformation
Building height to peak
# of stories
Main floor sq. ft.
Unfinished basement sq. ft.
Dimensions
Total habitable space
2"d floor sq. ft.
Finished basement sq. ft.
Occupancy group
Construction type
Garage sq. ft.
Deck sq. ft.
Cost of project t + ' k-� )
Heat source (electric, gas, etc.)
4_ z
Manufactures
.:::•,
Fire e
Width:
Length:
What is the square footage of the sign
face?
How high is the sign?
Year:
Make:
# of signs
Area of existing signs
Value
Phone
Inspectors:
�( •� - �,� tom. �
.:::•,
Fire e
Previous address
Fire Sprinkler
Tent
Fireworks display
Paint booth Fire Alarm
_
Phone
Proposed use
Value
Phone
Spe
$ c, 1.
li
What is the current use of this property?
N0 >r,
ne>gr o
Y. ""g"
Firm Name
Are or will there be wells located on the property?
If yes, identify on the site plan 0 Yes 0 No
Phone
Is there evidence of fill or excavation on the property?
0 Yes 0 No
Plans Examiner
Phone
Inspectors:
Address
Inspector
Phone
O Concrete
O Welding
O Bolting
O Reinforcement
Address
ADDITIONAL SITE INFORMATION
Are there structures on the property? 0 Yes 0 No
If yes, identify on site plan
What is the current property size?
(square feet or acres)
Is any part of the property within 250 feet of a shoreline?
If yes, identib on site plan 0 Yes 0 No
What is the current use of this property?
Is your property in a designated wildlife habitat area?
0 Don't know 0 Yes 0 No
Will the site be served by a septic system? 0 Yes 0 No
Is any part of the property within a 100 yr flood plain?
If yes, identify on site plan
0 Maybe 0 Don't know 0 Yes 0 No
Are or will there be wells located on the property?
If yes, identify on the site plan 0 Yes 0 No
Are there any wetlands, streams or ponds within 200 feet of the
property?
If yes, ident( on site plan 0 Yes 0 No
Is there evidence of fill or excavation on the property?
0 Yes 0 No
Are there slopes greater than 30% on the property? (30 ft rise in 100 ft)
(/ %) 0 Yes 0 No
Are critical or hazardous materials used or stored on site?
0 Yes 0 No
DEPARTMENT USE ONLY
Is the property itt a ilesigiiated Storniwater Control Area?` .
O .Yes DNo
Is public sewer available: to tha site>
Cl -'',Yes' 13 � w
Is the prOpertYlitside the ASA?
CI Yes
D Yes
:,"Cl. No •
0 No ..
Is pithhc Water available to the,siie?
Q
Is the property:inside'thePSSA?
a: Yes :
D, No •
Is the property located within 1t
fuer oI a N i rai oufre. tom?
d,Y'es'.,RN
Date Received:
Staff Representative:
METHOD OF PAYMENT
VISA
❑ CASH 0 CHECK 0 ammo 0
0
aiJC�VE <
FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD
DATE: EXPIRES:
BANKCARD NUMBER:
AUTHORIZED SIGNATURE:
SUBTOTAL
MINIMUM PERMIT FEE IS x35,00 PLEASE.
MAKE CHECKS PAYABLE TO1POKANB''.1
coUWIYPponrcENTER